Dec 11, 2017 —It
has been 23 days since my beloved and precious sister Anastasia was
killed by Inova Fairfax Hospital and their designated guardians Anne
Heishman and Kenneth Labowitz. I have been re-listening to various
meetings and discussions with Inova physicians and others involved in
her unnatural and untimely death. I have been going over medical
records and evidence sent to me by various individuals who did not agree
with what Inova’s guardians were doing. And since her death three
words amongst other things have been prevalent in my mind… premeditated,
homicide, and guilty.

During the January 28, 2017 meeting with Chief Medical Officer Scott
Betzelos, MD, and Inova’s outside counsel Laurie Kirkland from
Blankenship & Keith, PC, Inova was informed that I agreed with
Anastasia’s discharge so why did Inova still pursue and take
guardianship of Anastasia. As you listen to the meeting with Scott
Betzelos, MD, the discussion with Lindsey from Inova’s Palliative Care
team, and read the records and notes written by Kelly Armstrong, PhD and
the head of palliative care it brings certain things to light and bring
the following questions to mind:

“Pt is opioid naive” written by Mary Wheeler, NP, Inova Palliative
Care Team. Naive: “not having previously been the subject of a
scientific experiment, as an animal.”

Nurse Practitioner Mary Wheeler ordered increases in morphine when
Anastasia came down with a hospital born infection or after the results
from the pericardial effusion but decreased her morphine when she showed
signs of improvement… why?

Definition of terms, we as a society work under specific definition
of terms regarding social norms and morays. By inserting specific terms
or language into medical charts it can and does completely change the
intent and meaning. Perfect example is “irreversible” disease/condition
and “terminal” disease/condition.

Do hospitals intentionally or subconsciously allow bad bedsores to
justify palliative care and the ending of lives. Inova Palliative care
social worker, Lindsay N. Teich, specifically stated when talking about
ending life “if she had really bad wounds, maybe down to the bone, or
was causing pain when you turn her” … this is almost verbatim what
Labowitz claimed in his written communications. We were clear Anastasia
was not going on palliative care, that we/she did not want or need to be
on palliative care. Mary Wheeler, NP, pushed for comfort care.

Hospitals and nursing facilities get dinged by Medicare if patients
return to the hospital within 10-30 days. So to prevent from getting
dinged are hospitals and nursing facilities intentionally placing elder
and disabled patients on palliative care?

How can an informed decision about discharge, a safe discharge, be
made without all of the facts including if the receiving SNF is capable
of providing or willing to provide all of the needed care?

Inova CMO Scott Betzelos, MD was aware discharge had been appealed to
Medicare and also should have known that an appeal directly to Medicare
in DC invalidates Kepro reconsideration decision.

Bottom line Inova
Fairfax Hospital should not have discharged Anastasia when they did,
should not have sought guardianship until after the Medicare decision
was issued by the ALJ, and by doing both not only enabled and culpable
in her death but also in my opinion are accessory’s to her murder.

In Fact Anastasia was discharged and sent to Dulles Health and Rehab
without of all of her medications and the Lovenox was stopped right
after she was admitted to DHR. If Lovenox was given by Inova as a
prophylaxis and standard of care for bedridden patients and Anastasia
was sent with that order why then did DHR discontinue the Lovenox?

In Fact Dulles Health and Rehab changed Anastasia’s regular nebulizer
treatment to PRN. Envoy of Alexandria discontinued them entirely. They
claim they were given but evidence shows they did not.

CMO Scott Betzelos states Yolanda needed to give the Inova
“physicians the latitude and level of trust that they have and level of
knowledge they have that they are not going to discharge somebody in an
unstable condition.” Seriously??

CMO Scott Betzelos states “whatever treatment, therapy, or medication
Anastasia needs we will make sure she will receive, be discharged
with.” Anastasia was discharged and sent to DHR without all her needed
medications. DHR tried but were unable to reach the guardians for 4 days
to get authorization so they could get her medications.

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NASGA (National Association to STOP Guardian Abuse, Inc.) is a 501(c)(3) public-interest, civil rights organization formed by victims of unlawful and abusive guardianships and conservatorships. We seek legislative reform of existing law and upgrading of criminal penalties for court-appointed fiduciaries misusing protective proceedings for unjust enrichment and engaging in elder and family abuse.

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